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Vitamin D Status, Gender Differences, and Cardiometabolic Health Disparities

Authors: Dharambir K, Sanghera; Bishwa R, Sapkota; Christopher E, Aston; Piers R, Blackett;

Vitamin D Status, Gender Differences, and Cardiometabolic Health Disparities

Abstract

<b><i>Background:</i></b> Vitamin D deficiency is an unrecognized epidemic found in India and also worldwide. Despite the high prevalence of diabetes among Indians, there is a paucity of data showing the relationship between vitamin D status and cardiometabolic disparities. In this study, we have examined the relationship between vitamin D and cardiometabolic traits in a population from India. <b><i>Methods:</i></b> Circulating 25(OH)D levels were measured in 3,879 participants from the Asian Indian Diabetic Heart Study using ELISA kits. <b><i>Results:</i></b> Vitamin D levels were significantly reduced (<i>p</i> < 0.0001) in both men and women with obesity. However, compared to women, serum vitamin D was consistently lower in men (<i>p</i> < 0.02), irrespective of the presence of obesity and type 2 diabetes. Multivariate regression revealed strong interaction of vitamin D with body mass index that resulted in increased fasting glucose (<i>p</i> = 0.001) and reduced homeostasis model assessment of β-cell function (HOMA-B; <i>p</i> = 0.01) in normoglycemic individuals. However, in gender-stratified analysis, this association was restricted to men for both fasting glucose (<i>p</i> = 2.4 × 10<sup>-4</sup>) and HOMA-B (<i>p</i> = 0.001). <b><i>Conclusions:</i></b> Our findings suggest that vitamin D deficiency may significantly enhance the risk of cardiometabolic disease among Asian Indians. Future randomized trials and genetic studies are expected to clarify the underlying mechanisms for gender differences in vitamin D deficiency, and whether vitamin D-driven improvement in testosterone may contribute to beneficial cardiometabolic outcomes in men.

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Keywords

Adult, Blood Glucose, Male, India, Body Mass Index, Sex Factors, Risk Factors, Prevalence, Humans, Obesity, Vitamin D, Metabolic Syndrome, Health Status Disparities, Middle Aged, Vitamin D Deficiency, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Cardiovascular Diseases, Case-Control Studies, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
71
Top 1%
Top 10%
Top 10%
bronze